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Developing and Evaluating a Simulator for Complex IVC Filter Retrieval.

Nam S Hoang1, Benjamin H Ge1, William T Kuo1

  • 1Division of Vascular and Interventional Radiology, Stanford University School of Medicine, 300 Pasteur Drive, Room H3651, Stanford, CA 94305.

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This summary is machine-generated.

This study developed an inexpensive simulation model for inferior vena cava (IVC) filter retrieval, significantly improving trainee confidence and skills in handling forceps and understanding tissue feel.

Keywords:
IVC FilterLow-FidelityRetrievalsSimulationTraining Model

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Area of Science:

  • Medical Simulation
  • Surgical Skills Training
  • Interventional Radiology

Background:

  • Complex Inferior Vena Cava (IVC) filter retrieval demands specialized skills.
  • Patient safety necessitates simulation models for procedural skill acquisition.
  • Developing effective, low-cost models for embedded IVC filter retrieval is crucial.

Purpose of the Study:

  • To develop and evaluate an inexpensive simulation model for tip-embedded IVC filter retrieval.
  • To assess the model's effectiveness in improving trainee confidence and procedural skills.

Main Methods:

  • Assembled a model using silicone tubes, IVC filters, and endobronchial forceps.
  • Tested 12 adhesive methods to simulate IVC fibrous tissue adherence.
  • Trained 20 trainees on the model and measured confidence using a 3-point scale.

Main Results:

  • Sil-poxy Silicone Adhesive was identified as the most suitable material, mimicking IVC fibrous tissue.
  • Trainee confidence significantly improved post-training in forceps handling (1.20 to 2.10), tactile feel (1.05 to 2.15), and overall confidence (1.05 to 1.70).

Conclusions:

  • A low-cost simulator for embedded IVC filters is feasible.
  • This model effectively enhances trainee confidence and skill for complex IVC filter retrieval procedures.